We analyzed tree species composition and age structure in a rare, old-growth Quercus rubra L. (northern red oak) forest at Bluff Mountain Preserve, North Carolina, to assess potential changes associated with Cryphonectria parasitica (Murrill) M. E. Barr (chestnut blight), selective logging, livestock grazing, ice storms, wind events, and fire history. We established forest inventory plots to determine the forest composition, vertical structure, and age of the high-elevation Q. rubra dominated forest. We developed the longest Q. rubra dendroecological history (1671-2009) in North America. Several living Q. rubra individuals were more than 250 years old. The frequency, magnitude, and spatial extent of canopy disturbance events were shown in radial growth trends in Q. rubra samples. We also examined Q. rubra climate - radial growth relationships to compare high-elevation Q. rubra climate response patterns with results from lower elevation Quercus dendroclimatological studies. Stand-wide release events corresponded with the loss of Castanea dentata (Marsh.) Borkh. (American chestnut) during the 1930s and frequent ice storms or wind events. Although we observed fire scars on living hardwood trees, we did not find fire scars on the remnant logs. The lack of fire scars on the remnant logs indicates that the observed fires likely occurred during the second half of the 20th century. Quercus rubra were most climatically sensitive to cool March temperatures. Quercus rubra sampled at higher elevations were more sensitive to temperature than lower elevation Quercus spp. trees, which may indicate higher sensitivity to March frosts. Quercus rubra has been a dominant species at Bluff Mountain for the past 300 years; however, our data indicate that the forest will transition to support a much stronger Acer saccharum Marsh. (sugar maple) component during the next 50 years. This study provides a multicentury perspective to guide conservation efforts and forest management in high-elevation Quercus spp. forests in the southern Appalachian Mountains.